Active NPI
Core Health Systems
- General Practice Physician
- Grapeland, TX
National Provider Identifier
1649182338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CORE HEALTH SYSTEMS
- Practice address
- 205 Church St Ste 100
Grapeland, TX 75844-2151 - Phone
- (903) 232-8928
- Fax
- (903) 234-1639
- NPI assigned
- Sep 18, 2026
- Last updated
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemary O Villarreal, PESC
- Title
- Credentialing
- Phone
- (903) 932-3779
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
205 Church St Ste 100
Grapeland, TX 75844-2151
Mailing address
107 Woodbine PL
Longview, TX 75601-2912
Phone (903) 758-2471
National Provider Directory
National Provider Directory- Tax ID family
- Core Health Systems
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Jefferson, TX
- NPI 1851235204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1649182338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WOODBINE PL",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756012912",
"telephone_number": "903-758-2471",
"fax_number": "903-234-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 CHURCH ST STE 100",
"city": "GRAPELAND",
"state": "TX",
"postal_code": "758442151",
"telephone_number": "903-232-8928",
"fax_number": "903-234-1639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE HEALTH SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "VILLARREAL",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "903-932-3779",
"authorized_official_credential": "PESC"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapeland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.